Provider Demographics
NPI:1295311462
Name:NG, JOSHUA SIU LIM (MDCM, MPH)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:SIU LIM
Last Name:NG
Suffix:
Gender:M
Credentials:MDCM, MPH
Other - Prefix:
Other - First Name:JOSHUA
Other - Middle Name:S
Other - Last Name:NG-KAMSTRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MDCM, MPH
Mailing Address - Street 1:9 SEAGRAVE RD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1640
Mailing Address - Country:US
Mailing Address - Phone:808-675-1449
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:808-675-1449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-217672086S0102X, 2086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery